Zāļu cenu valsts aģentūras rīkojums Nr.30
Rīgā 2009.gada 16.septembrī
Par izmaiņām Kompensējamo zāļu sarakstā
Izdots saskaņā
ar Ministru kabineta 2006.gada 31.oktobra noteikumu Nr.899
“Ambulatorajai ārstēšanai paredzēto zāļu un medicīnisko
ierīču
iegādes izdevumu kompensācijas kārtība” 10., 53., 54., 61. un
64.punktu
1. Pamatojoties uz Zāļu cenu valsts aģentūras pieņemtajiem lēmumiem no 19.08.2009. līdz 16.09.2009. par zāļu un medicīnisko ierīču iekļaušanu, saraksta kategorijas pārskatīšanu, kompensācijas bāzes cenas pārskatīšanu, references cenas pārskatīšanu un svītrošanu Kompensējamo zāļu sarakstā (turpmāk tekstā – Saraksts):
1.1. Iekļaut Sarakstā zāles (1.pielikums “Kompensējamo zāļu sarakstā iekļautās zāles”);
1.2. Iekļaut Sarakstā medicīniskās ierīces (2.pielikums “Kompensējamo zāļu sarakstā iekļautās medicīniskās ierīces”);
1.3. Mainīt Sarakstā saraksta kategoriju zālēm (3.pielikums “Saraksta kategorijas maiņa Kompensējamo zāļu saraksta zālēm”);
1.4. Mainīt Sarakstā kompensācijas bāzes cenu un/vai references cenu zālēm (4.pielikums “Kompensācijas bāzes cenas un/vai references cenas maiņa Kompensējamo zāļu saraksta zālēm”);
1.5. Mainīt Sarakstā saraksta kategoriju medicīniskajām ierīcēm (4.pielikums “Saraksta kategorijas maiņa Kompensējamo zāļu saraksta medicīniskajām ierīcēm”);
1.6. Mainīt Sarakstā kompensācijas bāzes cenu medicīniskajām ierīcēm (6.pielikums “Kompensācijas bāzes cenas maiņa Kompensējamo zāļu saraksta medicīniskajām ierīcēm”);
1.7. Svītrot no Saraksta zāles (7.pielikums “No Kompensējamo zāļu saraksta svītrotās zāles”).
2. Rīkojums stājas spēkā 2009.gada 1.oktobrī.
Zāļu cenu valsts aģentūras direktore D.Behmane
1.pielikums
Zāļu cenu valsts aģentūras
2009.gada 16.septembra rīkojumam Nr.30
Kompensējamo zāļu sarakstā iekļautās zāles
Zāļu vispārīgais nosaukums |
ATC kodi |
Medikamenta identifikācijas Nr. |
Zāļu nosaukums |
Reģistrācijas |
Forma |
Stiprums mg |
Iepa-ko-juma lie-lums |
Kom-pen- sācijas bāzes cena (Ls) |
Aptie-kas cena ar PVN 10% (Ls) |
Kompensācijas summa |
Saraksta kategorija |
Medika-menta pazīme |
||
100% RC |
75% |
50% |
||||||||||||
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
Alfacalcidolum |
A11CC03 |
96-0301-03 |
Alpha D3-TEVA 0.25mcg |
Teva Pharma B.V. |
kapsulas |
0,00025 |
60 |
11,09 |
14,41 |
14,41 |
10,81 |
7,21 |
B |
|
A11CC03 |
01-0419-01 |
Alpha D3-TEVA 1mcg |
Teva Pharma B.V. |
kapsulas |
0,001 |
10 |
6,70 |
8,92 |
8,92 |
6,69 |
4,46 |
B |
||
Clonazepamum |
N03AE01 |
03-0054-03 |
Clonazepam Olainfarm 2mg |
A/S “Olainfarm” |
tabletes |
2 |
30 |
0,95 |
1,36 |
1,36 |
1,02 |
0,68 |
A |
R |
Glatirameri acetatum |
L03AX13 |
06-0274-01 |
Copaxone 20mg/ml |
Teva Pharmaceutical Ltd. |
šķīdums injekcijām pilnšļircē |
20mg/ml |
28 |
584,18 |
647,27 |
647,27 |
485,45 |
323,64 |
B |
|
Insulinum lispro |
A10AB04 |
EU/1/96/007/015 |
Humalog Pen |
Eli Lilly Nederland BV |
šķīdums injekcijām pilnšļircēs |
100SV/ml-3ml |
5 |
24,42 |
30,13 |
30,13 |
22,60 |
15,07 |
B |
|
VIII faktora koncentrāts |
B02BD06 |
05-0497-01 |
Immunate Baxter 250 IU |
Baxter AG |
pulveris injekcijām ar šķīdinātāju |
250SV/5ml |
1 |
46,95 |
56,16 |
37,00 |
27,75 |
18,50 |
A |
|
B02BD06 |
05-0498-01 |
Immunate Baxter 500 IU |
Baxter AG |
pulveris injekcijām ar šķīdinātāju |
500SV/5ml |
1 |
93,88 |
107,94 |
73,27 |
54,95 |
36,64 |
A |
||
B02BD06 |
05-0499-01 |
Immunate Baxter 1000 IU |
Baxter AG |
pulveris injekcijām ar šķīdinātāju |
1000SV/10ml |
1 |
187,76 |
211,21 |
146,40 |
109,80 |
73,20 |
A |
||
Paclitaxelum |
L01CD01 |
05-0316-01 |
Paclitaxel-Teva 6mg/ml |
Pharmachemie B.V. |
koncentrāts infūziju šķīduma pagatavošanai |
30mg/5ml |
1 |
19,00 |
23,85 |
23,85 |
17,89 |
11,93 |
A |
R |
L01CD01 |
05-0317-01 |
Paclitaxel-Teva 6mg/ml |
Pharmachemie B.V. |
koncentrāts infūziju šķīduma pagatavošanai |
100mg/16,7ml |
1 |
67,93 |
79,40 |
79,40 |
59,55 |
39,70 |
A |
R |
|
L01CD01 |
05-0318-01 |
Paclitaxel-Teva 6mg/ml |
Pharmachemie B.V. |
koncentrāts infūziju šķīduma pagatavošanai |
300mg/50ml |
1 |
166,64 |
187,98 |
187,98 |
140,99 |
93,99 |
A |
R |
|
Amoxicillinum/ Acidum clavulanicum |
J01CR02 |
02-0325-02 |
Medoclav 125mg/31,25mg/5ml |
Medochemie Ltd. |
pulveris iekšķīgi lietojamas suspensijas pagatavošanai |
125mg/ 31,25mg/5ml |
1 |
2,42 |
3,36 |
3,36 |
2,52 |
1,68 |
A |
R |
Anastrazolum |
L02BG03 |
07-0288-05 |
Anastrozole Actavis 1mg |
Actavis Group PCT ehf |
apvalkotas tabletes |
1 |
28 |
30,60 |
37,27 |
37,27 |
27,95 |
18,64 |
A |
R |
L02BG03 |
08-0225-05 |
Zynzol 1mg |
Lannacher Heilmittel GmbH |
apvalkotas tabletes |
1 |
30 |
32,90 |
39,93 |
39,93 |
29,95 |
19,97 |
A |
R |
|
Atorvastatinum |
C10AA05 |
07-0174-07 |
Atorvastatin Polpharma 10mg |
Pharmaceutical Works “Polpharma” S.A. |
apvalkotas tabletes |
10 |
30 |
2,41 |
3,34 |
3,34 |
2,51 |
1,67 |
A |
R |
C10AA05 |
07-0175-07 |
Atorvastatin Polpharma 20mg |
Pharmaceutical Works “Polpharma” S.A. |
apvalkotas tabletes |
20 |
30 |
3,83 |
5,26 |
5,26 |
3,95 |
2,63 |
A |
R |
|
Bimatoprostum |
S01EE03 |
EU/1/02/205/001 |
Lumigan |
Allergan Pharmaceuticals Ireland |
acu pilieni |
0,3mg/ ml |
3ml |
9,19 |
12,07 |
12,07 |
9,05 |
6,04 |
A |
R |
Bimatoprostum/ Timololum |
S01ED51 |
EU/1/06/340/001 |
Ganfort |
Allergan Pharmaceuticals Ireland |
acu pilieni |
0,3/5mg/ml |
3ml |
10,32 |
13,48 |
12,93 |
9,70 |
6,47 |
A |
|
Bisoprololum |
C07AB07 |
08-0337-04 |
Bisprotin 5mg |
Vitabalans Oy |
tabletes |
5 |
30 |
1,28 |
1,82 |
1,71 |
1,28 |
0,86 |
A |
|
C07AB07 |
08-0338-04 |
Bisprotin 10mg |
Vitabalans Oy |
tabletes |
10 |
30 |
2,30 |
3,20 |
3,00 |
2,25 |
1,50 |
A |
||
Calcii polystyreni sulfonatum |
V03AE01 |
07-0126-01 |
Sorbisterit |
Fresenius Medical Care Deutschland GmbH |
pulveris iekšķīgi lietojamas vai rektālas suspensijas pagatavošanai |
75,9-94,9g/ 100g |
500g Nr.1 |
20,04 |
25,07 |
25,07 |
18,80 |
12,54 |
B |
|
Carbamazepinum |
N03AF01 |
02-0461-01 |
Tegretol CR 400mg |
Novartis Finland Oy |
ilgstošas darbības apvalkotas tabletes |
400 |
30 |
2,88 |
3,97 |
2,98 |
2,24 |
1,49 |
A |
|
Dorzolamidum/ Timololum |
S01ED51 |
99-0966-01 |
Cosopt |
SIA “Merck Sharp & Dohme Latvija” |
acu pilieni |
20/5mg/ml - 5ml Nr.1 |
3 gab. |
30,31 |
36,94 |
31,20 |
23,40 |
15,60 |
A |
|
Indapamidum |
C03BA11 |
09-0057-01 |
Indapamide Orion 1,5mg |
Orion Corporation |
ilgstošas darbības tabletes |
1,5 |
30 |
2,57 |
3,55 |
3,55 |
2,66 |
1,78 |
A |
R |
Lamotriginum |
N03AX09 |
97-0589-11 |
Lamictal 50mg |
GlaxoSmithKline Latvia SIA |
disperģējamas/košļājamas tabletes |
50 |
56 |
6,92 |
9,20 |
9,20 |
6,90 |
4,60 |
A |
R |
N03AX09 |
97-0590-11 |
Lamictal 100mg |
GlaxoSmithKline Latvia SIA |
disperģējamas/košļājamas tabletes |
100 |
56 |
13,44 |
17,25 |
17,25 |
12,94 |
8,63 |
A |
R |
|
Lisinoprilum/ Amlodipinum |
C09BB |
09-0036-01 |
Dironorm 10mg/5mg |
Gedeon Richter Plc. |
tabletes |
10/5 |
30 |
5,26 |
6,77 |
4,80 |
3,60 |
2,40 |
A |
|
Losartanum/ Hydrochlorothiazidum |
C09DA01 |
09-0241-04 |
Fortzaar 100/12,5mg |
Merck Sharp & Dohme Latvija |
apvalkotas tabletes |
100/12,5 |
28 |
12,10 |
15,63 |
15,63 |
11,72 |
7,82 |
A |
R |
Methotrexatum |
L01BA01 |
09-0058-07 |
Trexan 2,5mg |
Orion Corporation |
tabletes |
2,5 |
30 |
1,91 |
2,68 |
2,68 |
2,01 |
1,34 |
A |
R |
L01BA01 |
09-0059-01 |
Trexan 10mg |
Orion Corporation |
tabletes |
10 |
10 |
2,51 |
3,48 |
3,48 |
2,61 |
1,74 |
A |
R |
|
Natrii alendronatum/ Cholecalciferolum |
M05BB03 |
EU/1/05/310/008 |
Fosavance |
Merck Sharp & Dohme Ltd. |
tabletes |
70/0,14 |
12 |
38,37 |
46,24 |
33,35 |
25,01 |
16,68 |
A |
|
Natrii risedronatum |
M05BA07 |
09-0049-01 |
Ribidron 35mg |
Ratiopharm GmbH |
apvalkotas tabletes |
35 |
4 |
8,56 |
11,26 |
10,96 |
8,22 |
5,48 |
A |
|
M05BA07 |
08-0309-03 |
Risedronate Sodium Actavis 35mg |
Actavis Group PCT ehf |
apvalkotas tabletes |
35 |
4 |
8,31 |
10,96 |
10,96 |
8,22 |
5,48 |
A |
R |
|
M05BA07 |
08-0339-03 |
Risonate 35mg |
Teva Pharma B.V. |
apvalkotas tabletes |
35 |
4 |
8,79 |
11,56 |
10,96 |
8,22 |
5,48 |
A |
||
Olanzapinum |
N05AH03 |
07-0281-04 |
Olanzapin-ratiopharm 10mg |
Ratiopharm GmbH |
tabletes |
10 |
28 |
26,20 |
32,19 |
32,19 |
24,14 |
16,10 |
A |
R |
Perindoprilum/ Indapamidum |
C09BA04 |
09-0050-04 |
Noliterax 10mg/ 2,5mg |
Les Laboratoires Servier |
apvalkotas tabletes |
10/2,5 |
30 |
8,74 |
11,50 |
11,50 |
8,63 |
5,75 |
A |
R |
C09BA04 |
09-0083-04 |
Perindap 2mg/0,625mg |
Ratiopharm GmbH |
tabletes |
2/0,625 |
30 |
3,67 |
5,05 |
3,60 |
2,70 |
1,80 |
A |
||
C09BA04 |
09-0016-04 |
Perindap 4mg/1,25mg |
Ratiopharm GmbH |
tabletes |
4/1,25 |
30 |
4,44 |
6,04 |
6,04 |
4,53 |
3,02 |
A |
R |
|
Quetiapinum |
N05AH04 |
07-0268-09 |
Hedonin 100mg |
Lannacher Heilmittel GmbH |
apvalkotas tabletes |
100 |
60 |
19,19 |
24,07 |
24,07 |
18,05 |
12,04 |
A |
R |
N05AH04 |
07-0269-09 |
Hedonin 200mg |
Lannacher Heilmittel GmbH |
apvalkotas tabletes |
200 |
60 |
36,22 |
43,76 |
39,93 |
29,95 |
19,97 |
A |
||
Ramiprilum |
C09AA05 |
05-0426-01 |
Ampril 2,5mg |
KRKA d.d., Novo Mesto, Slovenia |
tabletes |
2,5 |
30 |
1,51 |
2,13 |
2,13 |
1,60 |
1,07 |
A |
R |
C09AA05 |
05-0427-01 |
Ampril 5mg |
KRKA d.d., Novo Mesto, Slovenia |
tabletes |
5 |
30 |
2,63 |
3,64 |
3,20 |
2,40 |
1,60 |
A |
||
C09AA05 |
05-0428-01 |
Ampril 10mg |
KRKA d.d., Novo Mesto, Slovenia |
tabletes |
10 |
30 |
5,34 |
7,19 |
6,04 |
4,53 |
3,02 |
A |
||
C09AA05 |
09-0040-05 |
Ramimed 5mg |
Medochemie Ltd. |
tabletes |
5 |
30 |
2,30 |
3,20 |
3,20 |
2,40 |
1,60 |
A |
R |
|
C09AA05 |
09-0041-05 |
Ramimed 10mg |
Medochemie Ltd. |
tabletes |
10 |
30 |
4,44 |
6,04 |
6,04 |
4,53 |
3,02 |
A |
R |
|
Risperidonum |
N05AX08 |
07-0207-05 |
Medorisper 2mg |
Medochemie Ltd. |
apvalkotas tabletes |
2 |
60 |
13,00 |
16,72 |
16,72 |
12,54 |
8,36 |
A |
R |
N05AX08 |
07-0209-05 |
Medorisper 4mg |
Medochemie Ltd. |
apvalkotas tabletes |
4 |
60 |
26,41 |
32,43 |
32,43 |
24,32 |
16,22 |
A |
R |
|
Ropinirolum |
N04BC04 |
08-0263-02 |
Ropinirol Orion 0,25mg |
Orion Corporation |
apvalkotas tabletes |
0,25 |
84 |
3,26 |
4,52 |
4,52 |
3,39 |
2,26 |
A |
R |
N04BC04 |
08-0265-02 |
Ropinirol Orion 1mg |
Orion Corporation |
apvalkotas tabletes |
1 |
84 |
14,11 |
18,06 |
18,06 |
13,55 |
9,03 |
A |
R |
|
N04BC04 |
08-0266-02 |
Ropinirol Orion 2mg |
Orion Corporation |
apvalkotas tabletes |
2 |
84 |
24,84 |
30,61 |
30,61 |
22,96 |
15,31 |
A |
R |
|
N04BC04 |
08-0267-02 |
Ropinirol Orion 5mg |
Orion Corporation |
apvalkotas tabletes |
5 |
84 |
50,61 |
60,35 |
60,35 |
45,26 |
30,18 |
A |
R |
|
Topiramatum |
N03AX11 |
08-0283-01 |
Topiramat Orion 25mg |
Orion Corporation |
apvalkotas tabletes |
25 |
60 |
7,96 |
10,51 |
10,51 |
7,88 |
5,26 |
A |
R |
N03AX11 |
08-0284-01 |
Topiramat Orion 50mg |
Orion Corporation |
apvalkotas tabletes |
50 |
60 |
12,66 |
16,31 |
16,31 |
12,23 |
8,16 |
A |
R |
|
N03AX11 |
08-0285-01 |
Topiramat Orion 100mg |
Orion Corporation |
apvalkotas tabletes |
100 |
60 |
24,12 |
29,79 |
29,79 |
22,34 |
14,90 |
A |
R |
|
N03AX11 |
08-0286-01 |
Topiramat Orion 200mg |
Orion Corporation |
apvalkotas tabletes |
200 |
60 |
49,90 |
59,57 |
59,57 |
44,68 |
29,79 |
A |
R |
|
Venlafaxinum |
N06AX16 |
07-0085-03 |
Elify XR 37,5mg |
Medochemie Ltd. |
ilgstošas darbības cietas kapsulas |
37,5 |
30 |
4,09 |
5,60 |
5,60 |
4,20 |
2,80 |
A |
R |
N06AX16 |
07-0087-03 |
Elify XR 150mg |
Medochemie Ltd. |
ilgstošas darbības cietas kapsulas |
150 |
30 |
12,33 |
15,91 |
15,91 |
11,93 |
7,96 |
A |
R |
|
N06AX16 |
08-0310-02 |
Venlafaxine Actavis 37,5mg |
Actavis Group PCT ehf |
ilgstošas darbības cietas kapsulas |
37,5 |
28 |
3,80 |
5,23 |
5,23 |
3,92 |
2,62 |
A |
R |
|
N06AX16 |
08-0324-04 |
Venlafaxin-ratiopharm 75mg |
Ratiopharm GmbH |
ilgstošas darbības cietas kapsulas |
75 |
30 |
7,07 |
9,38 |
9,38 |
7,04 |
4,69 |
A |
R |
Zāļu cenu valsts aģentūras direktore D.Behmane
2.pielikums
Zāļu cenu valsts aģentūras
2009.gada 16.septembra rīkojumam Nr.30
Kompensējamo zāļu sarakstā iekļautās medicīniskās ierīces
Medicīniskā ierīce |
Identifikācijas Nr. |
Medicīniskās ierīces nosaukums |
Reģistrācijas |
Iepakojuma lielums |
Kompensācijas bāzes cena (Ls) |
Aptiekas cena ar PVN 10% (Ls) |
Kompensācijas summa |
Saraksta |
Pazīme |
||
100% RC |
75% |
50% |
|||||||||
Glikēmijas teststrēmeles |
060206-03 |
Accu-Chek Active |
Invitros SIA |
25 |
4,65 |
6,31 |
6,11 |
4,58 |
3,06 |
A |
|
Inkontinences līdzekļi |
080144-08 |
TENA Slip Maxi Small |
SCA Hygiene Products SIA |
24 |
7,59 |
10,04 |
9,05 |
6,79 |
4,53 |
A |
|
080144-09 |
TENA Slip Maxi Medium |
SCA Hygiene Products SIA |
24 |
8,61 |
11,33 |
10,18 |
7,64 |
5,09 |
A |
||
080144-10 |
TENA Slip Maxi Large |
SCA Hygiene Products SIA |
24 |
10,35 |
13,52 |
12,16 |
9,12 |
6,08 |
A |
||
080144-05 |
TENA Slip Super Small |
SCA Hygiene Products SIA |
28 |
8,11 |
10,70 |
10,04 |
7,53 |
5,02 |
A |
||
080144-06 |
TENA Slip Super Medium |
SCA Hygiene Products SIA |
28 |
8,61 |
11,33 |
11,06 |
8,30 |
5,53 |
A |
||
080144-07 |
TENA Slip Super Large |
SCA Hygiene Products SIA |
28 |
10,42 |
13,60 |
13,22 |
9,92 |
6,61 |
A |
Zāļu cenu valsts aģentūras direktore D.Behmane
3.pielikums
Zāļu cenu valsts aģentūras
2009.gada 16.septembra rīkojumam Nr.30
Saraksta kategorijas maiņa Kompensējamo zāļu saraksta zālēm
Zāļu vispārīgais nosaukums |
ATC kodi |
Medikamenta identifikācijas Nr. |
Zāļu nosaukums |
Reģistrācijas |
Forma |
Stiprums mg |
Iepako-juma lielums |
Kom-pen- sācijas bāzes cena (Ls) |
Aptie-kas cena ar PVN 10% (Ls) |
Kompensācijas summa |
Saraksta kategorija |
Medika-menta pazīme |
||
100% RC |
75% |
50% |
||||||||||||
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
Latanoprostum |
S01EE01 |
00-0502-01 |
Xalatan 0,005% |
Pfizer Europe MA EEIG |
acu pilieni |
0,05mg/ml |
2,5ml |
10,07 |
13,18 |
10,06 |
7,55 |
5,03 |
A |
|
S01EE01 |
00-0502-02 |
Xalatan 0,005% |
Pfizer Europe MA EEIG |
acu pilieni |
0,05mg/ml |
3x 2,5ml |
30,18 |
36,78 |
30,17 |
22,63 |
15,09 |
A |
||
Methotrexatum |
L01BA01 |
05-0313-02 |
Methotrexat “Ebewe” 2,5mg |
Ebewe Pharma GmbH |
tabletes |
2,5 |
50 |
3,83 |
5,26 |
4,47 |
3,35 |
2,24 |
A |
|
L01BA01 |
05-0314-02 |
Methotrexat “Ebewe” 5mg |
Ebewe Pharma GmbH |
tabletes |
5 |
50 |
7,52 |
9,96 |
8,80 |
6,60 |
4,40 |
A |
||
Ropinirolum |
N04BC04 |
06-0261-02 |
Requip-Modutab 2mg |
GlaxoSmith Kline Latvia SIA |
ilgstošas darbības tabletes |
2 |
28 |
13,64 |
17,49 |
14,46 |
10,85 |
7,23 |
A |
|
N04BC04 |
06-0261-03 |
Requip-Modutab 2mg |
GlaxoSmith Kline Latvia SIA |
ilgstošas darbības tabletes |
2 |
84 |
40,92 |
49,19 |
43,34 |
32,51 |
21,67 |
A |
||
N04BC04 |
06-0263-02 |
Requip-Modutab 4mg |
GlaxoSmith Kline Latvia SIA |
ilgstošas darbības tabletes |
4 |
84 |
84,50 |
97,63 |
86,63 |
64,97 |
43,32 |
A |
||
N04BC04 |
06-0264-02 |
Requip-Modutab 8mg |
GlaxoSmith Kline Latvia SIA |
ilgstošas darbības tabletes |
8 |
84 |
166,38 |
187,69 |
146,94 |
110,21 |
73,47 |
A |
||
Travoprostum |
S01EE04 |
EU/1/01/199/001 |
Travatan |
Alcon Laboratories Inc. |
acu pilieni |
0,04mg/ml |
2,5ml |
10,49 |
13,68 |
10,06 |
7,55 |
5,03 |
A |
|
VIII
faktora |
B02BD02 |
99-1017-01 |
Dried Factor VIII Fraction, 8Y |
BPL, Bio Products Laboratory |
pulveris injekcijām |
250SV/ 10ml |
1 |
30,37 |
37,00 |
37,00 |
27,75 |
18,50 |
A |
R |
B02BD02 |
99-1017-02 |
Dried Factor VIII Fraction, 8Y |
BPL, Bio Products Laboratory |
pulveris injekcijām |
500SV/ 20ml |
1 |
62,36 |
73,27 |
73,27 |
54,95 |
36,64 |
A |
R |
Zāļu cenu valsts aģentūras direktore D.Behmane
4.pielikums
Zāļu cenu valsts aģentūras
2009.gada 16.septembra rīkojumam Nr.30
Kompensācijas bāzes cenas un/vai references cenas maiņa Kompensējamo zāļu saraksta zālēm
Zāļu vispārīgais nosaukums |
ATC kodi |
Medikamenta identifikācijas Nr. |
Zāļu nosaukums |
Reģistrācijas |
Forma |
Stiprums mg |
Iepako-juma lie-lums |
Kom-pen- sācijas bāzes cena (Ls) |
Aptie-kas cena ar PVN 10% (Ls) |
Kompensācijas summa |
Saraksta kategorija |
Medika-menta pazīme |
||
100% RC |
75% |
50% |
||||||||||||
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
Amantadinum |
N04BB01 |
01-0187-02 |
Neomidantan 100mg |
A/S “Olainfarm” |
kapsulas |
100 |
50 |
3,00 |
4,19 |
4,19 |
3,14 |
2,10 |
A |
R |
Amlodipinum |
C08CA01 |
07-0050-05 |
Amlocard B 5mg |
Hexal AG |
tabletes |
5 |
30 |
1,43 |
2,02 |
2,02 |
1,52 |
1,01 |
A |
R |
C08CA01 |
07-0052-05 |
Amlocard B 10mg |
Hexal AG |
tabletes |
10 |
30 |
2,30 |
3,20 |
3,20 |
2,40 |
1,60 |
A |
R |
|
C08CA01 |
07-0348-01 |
Amlodipine Medochemie 5mg |
Medochemie Ltd. |
tabletes |
5 |
30 |
1,43 |
2,02 |
2,02 |
1,52 |
1,01 |
A |
R |
|
C08CA01 |
07-0349-01 |
Amlodipine Medochemie 10mg |
Medochemie Ltd. |
tabletes |
10 |
30 |
2,30 |
3,20 |
3,20 |
2,40 |
1,60 |
A |
R |
|
C08CA01 |
07-0169-03 |
Lofral 5mg |
Mepha Lda. |
tabletes |
5 |
30 |
1,43 |
2,02 |
2,02 |
1,52 |
1,01 |
A |
R |
|
C08CA01 |
07-0170-01 |
Lofral 10mg |
Mepha Lda. |
tabletes |
10 |
30 |
2,68 |
3,71 |
3,20 |
2,40 |
1,60 |
A |
||
C08CA01 |
97-0601-01 |
Norvasc 10mg |
Pfizer Limited |
tabletes |
10 |
30 |
2,68 |
3,71 |
3,20 |
2,40 |
1,60 |
A |
||
C08CA01 |
06-0182-02 |
Agen 10mg |
Zentiva a.s. |
tabletes |
10 |
30 |
2,68 |
3,71 |
3,20 |
2,40 |
1,60 |
A |
||
C08CA01 |
04-0443-01 |
Tenox 5mg |
KRKA d.d., Novo Mesto |
tabletes |
5 |
30 |
1,43 |
2,02 |
2,02 |
1,52 |
1,01 |
A |
R |
|
C08CA01 |
04-0444-01 |
Tenox 10mg |
KRKA d.d., Novo Mesto |
tabletes |
10 |
30 |
2,68 |
3,71 |
3,20 |
2,40 |
1,60 |
A |
||
Anastrozolum |
L02BG03 |
07-0250-04 |
Anastrozole Sandoz 1mg |
Sandoz d.d. |
apvalkotas tabletes |
1 |
28 |
30,60 |
37,27 |
37,27 |
27,95 |
18,64 |
A |
R |
L02BG03 |
07-0287-01 |
Anastrozole-Teva 1mg |
Teva Pharma B.V. |
apvalkotas tabletes |
1 |
28 |
48,37 |
57,79 |
37,27 |
27,95 |
18,64 |
A |
||
L02BG03 |
08-0220-05 |
Anastrozol-ratiopharm 1mg |
Ratiopharm GmbH |
apvalkotas tabletes |
1 |
30 |
32,90 |
39,93 |
39,93 |
29,95 |
19,97 |
A |
R |
|
L02BG03 |
00-0466-01 |
Arimidex 1mg |
AstraZeneca UK Limited |
apvalkotas tabletes |
1 |
28 |
30,60 |
37,27 |
37,27 |
27,95 |
18,64 |
A |
R |
|
L02BG03 |
08-0197-02 |
Axastrol 1mg |
AS “Grindeks” |
apvalkotas tabletes |
1 |
28 |
30,60 |
37,27 |
37,27 |
27,95 |
18,64 |
A |
R |
|
L02BG03 |
08-0104-03 |
Mammozole 1mg |
Gedeon Richter Plc., Hungary |
apvalkotas tabletes |
1 |
28 |
30,60 |
37,27 |
37,27 |
27,95 |
18,64 |
A |
R |
|
L02BG03 |
08-0107-03 |
Trasolette 1mg |
Haupt Pharma Munster GmbH |
apvalkotas tabletes |
1 |
28 |
54,85 |
65,01 |
37,27 |
27,95 |
18,64 |
A |
||
Atorvastatinum |
C10AA05 |
08-0379-07 |
Atilen 10mg |
Medis ehf. |
apvalkotas tabletes |
10 |
30 |
3,91 |
5,36 |
3,34 |
2,51 |
1,67 |
A |
|
C10AA05 |
08-0380-07 |
Atilen 20mg |
Medis ehf. |
apvalkotas tabletes |
20 |
30 |
4,33 |
5,91 |
5,26 |
3,95 |
2,63 |
A |
||
C10AA05 |
03-0362-01 |
Atoris 10mg |
KRKA d.d., Novo Mesto |
apvalkotas tabletes |
10 |
30 |
4,89 |
6,62 |
3,34 |
2,51 |
1,67 |
A |
||
C10AA05 |
03-0363-01 |
Atoris 20mg |
KRKA d.d., Novo Mesto |
apvalkotas tabletes |
20 |
30 |
5,34 |
7,19 |
5,26 |
3,95 |
2,63 |
A |
||
C10AA05 |
07-0112-07 |
Atorvastatin Actavis 10mg |
Actavis Group hf |
apvalkotas tabletes |
10 |
30 |
4,89 |
6,62 |
3,34 |
2,51 |
1,67 |
A |
||
C10AA05 |
07-0113-07 |
Atorvastatin Actavis 20mg |
Actavis Group hf |
apvalkotas tabletes |
20 |
30 |
4,33 |
5,91 |
5,26 |
3,95 |
2,63 |
A |
||
C10AA05 |
07-0171-07 |
Lopamol 10mg |
Gedeon Richter Plc., Hungary |
apvalkotas tabletes |
10 |
30 |
4,89 |
6,62 |
3,34 |
2,51 |
1,67 |
A |
||
C10AA05 |
07-0172-07 |
Lopamol 20mg |
Gedeon Richter Plc., Hungary |
apvalkotas tabletes |
20 |
30 |
5,34 |
7,19 |
5,26 |
3,95 |
2,63 |
A |
||
C10AA05 |
98-0598-01 |
Sortis 10mg |
Pfizer Limited |
apvalkotas tabletes |
10 |
30 |
6,92 |
9,20 |
3,34 |
2,51 |
1,67 |
A |
||
C10AA05 |
98-0599-01 |
Sortis 20mg |
Pfizer Limited |
apvalkotas tabletes |
20 |
30 |
9,69 |
12,69 |
5,26 |
3,95 |
2,63 |
A |
||
C10AA05 |
05-0329-01 |
Torvacard 10mg |
Zentiva a.s. |
apvalkotas tabletes |
10 |
30 |
4,89 |
6,62 |
3,34 |
2,51 |
1,67 |
A |
||
C10AA05 |
05-0330-01 |
Torvacard 20mg |
Zentiva a.s. |
apvalkotas tabletes |
20 |
30 |
5,34 |
7,19 |
5,26 |
3,95 |
2,63 |
A |
||
C10AA05 |
04-0107-01 |
Tulip 10mg |
LEK Pharmaceuticals d.d. |
apvalkotas tabletes |
10 |
30 |
4,89 |
6,62 |
3,34 |
2,51 |
1,67 |
A |
||
C10AA05 |
04-0108-01 |
Tulip 20mg |
LEK Pharmaceuticals d.d. |
apvalkotas tabletes |
20 |
30 |
5,34 |
7,19 |
5,26 |
3,95 |
2,63 |
A |
||
Betaxololum |
C07AB05 |
04-0209-01 |
Betac 20mg |
Medochemie Ltd. |
apvalkotas tabletes |
20 |
30 |
2,76 |
3,81 |
3,00 |
2,25 |
1,50 |
A |
|
Candesartanum/ Hydrochlorothiazidum |
C09DA06 |
RN001-01 |
Atacand Plus |
AstraZeneca UK Limited |
tabletes |
16/12,5 |
28 |
12,95 |
16,67 |
15,63 |
11,72 |
7,82 |
A |
|
Cholecalciferolum |
A11CC05 |
98-0828-01 |
Vigantol Oel |
Merck KgaA |
šķīdums iekšķīgai lietošanai |
0,5mg/ml |
10 |
2,02 |
2,83 |
2,83 |
2,12 |
1,42 |
B |
|
Gabapentinum |
N03AX12 |
01-0278-01 |
Neurontin 400mg |
Pfizer Limited |
kapsulas |
400 |
50 |
10,51 |
13,71 |
13,71 |
10,28 |
6,86 |
A |
R |
Insulinum human |
A10AC01 |
00-0162-01 |
Humulin N |
Eli Lilly |
suspensija injekcijām kārtridžos |
100SV/ml-3ml |
5 |
18,17 |
22,87 |
22,87 |
17,15 |
11,44 |
B |
|
A10AC01 |
02-0227-02 |
Humulin N Pen |
Lilly France S.A. |
suspensija injekcijām pilnšļircēs |
100SV/ml-3ml |
5 |
20,15 |
25,20 |
25,20 |
18,90 |
12,60 |
B |
||
Insulinum lispro |
A10AB04 |
EU/1/96/007/004 |
Humalog |
Lilly France S.A. |
šķīdums injekcijām kārtridžos |
100SV/ml-3ml |
5 |
22,55 |
27,97 |
27,97 |
20,98 |
13,99 |
B |
|
Interferonum |
L03AB08 |
EU/1/95/003/005 |
Betaferon |
Bayer Schering Pharma AG |
pulveris injekcijām ar šķīdinātāju |
0,25mg/ml |
15 |
577,42 |
639,84 |
639,84 |
479,88 |
319,92 |
A |
R |
Lamotriginum |
N03AX09 |
97-0589-02 |
Lamictal 50mg |
GlaxoSmithKline Latvia SIA |
disperģējamas/ košļājamas tabletes |
50 |
90 |
11,89 |
15,38 |
14,77 |
11,08 |
7,39 |
A |
|
N03AX09 |
97-0590-02 |
Lamictal 100mg |
GlaxoSmithKline Latvia SIA |
disperģējamas/ košļājamas tabletes |
100 |
90 |
22,98 |
28,47 |
27,69 |
20,77 |
13,85 |
A |
||
N03AX09 |
97-0591-02 |
Lamictal 200mg |
GlaxoSmithKline Latvia SIA |
disperģējamas/ košļājamas tabletes |
200 |
90 |
58,62 |
69,16 |
55,32 |
41,49 |
27,66 |
A |
||
Latanoprostum/ Timololum |
S01ED51 |
03-0418-01 |
Xalacom |
Pfizer Europe MA EEIG |
acu pilieni |
0,05/5mg/ml |
2,5ml |
11,87 |
15,36 |
10,77 |
8,08 |
5,39 |
A |
|
S01ED51 |
03-0418-02 |
Xalacom |
Pfizer Europe MA EEIG |
acu pilieni |
0,05/5mg/ ml |
3x 2,5ml |
33,15 |
40,22 |
32,31 |
24,23 |
16,16 |
A |
||
Metforminum |
A10BA02 |
03-0403-02 |
Glucophage 500mg |
Merck Sante s.a.s. |
apvalkotas tabletes |
500 |
100 |
2,62 |
3,62 |
3,62 |
2,72 |
1,81 |
A |
R |
Mirtazapinum |
N06AX11 |
07-0188-03 |
Mirtazapin Actavis 30mg |
Actavis Group hf |
mutē disperģējamas tabletes |
30 |
30 |
6,90 |
9,17 |
9,17 |
6,88 |
4,59 |
A |
R |
N06AX11 |
07-0189-03 |
Mirtazapin Actavis 45mg |
Actavis Group hf |
mutē disperģējamas tabletes |
45 |
30 |
10,48 |
13,67 |
13,67 |
10,25 |
6,84 |
A |
R |
|
N06AX11 |
07-0014-01 |
Mirzaten Q-Tab 45mg |
KRKA d.d., Novo Mesto |
mutē disperģējamas tabletes |
45 |
30 |
11,17 |
14,51 |
13,67 |
10,25 |
6,84 |
A |
||
Natrii alendronatum/ Cholecalciferolum |
M05BB03 |
EU/1/05/310/002 |
Fosavance |
Merck Sharp & Dohme Ltd. |
tabletes |
70/0,07 |
4 |
14,45 |
18,48 |
11,04 |
8,28 |
5,52 |
A |
|
M05BB03 |
EU/1/05/310/007 |
Fosavance |
Merck Sharp & Dohme Ltd. |
tabletes |
70/0,14 |
4 |
14,51 |
18,55 |
11,12 |
8,34 |
5,56 |
A |
||
Paclitaxelum |
L01CD01 |
08-0080-01 |
Paclitaxel Actavis 6mg/ml |
Actavis Group PCT ehf |
koncentrāts infūziju šķīduma pagatavošanai |
30mg/5ml |
1 |
19,00 |
23,85 |
23,85 |
17,89 |
11,93 |
A |
R |
L01CD01 |
08-0081-01 |
Paclitaxel Actavis 6mg/ml |
Actavis Group PCT ehf |
koncentrāts infūziju šķīduma pagatavošanai |
100mg/ |
1 |
67,93 |
79,40 |
79,40 |
59,55 |
39,70 |
A |
R |
|
L01CD01 |
08-0083-01 |
Paclitaxel Actavis 6mg/ml |
Actavis Group PCT ehf |
koncentrāts infūziju šķīduma pagatavošanai |
300mg/50ml |
1 |
166,64 |
187,98 |
187,98 |
140,99 |
93,99 |
A |
R |
|
Perindoprilum/ Indapamidum |
C09BA04 |
07-0370-04 |
Prenewel 4mg/1,25mg |
KRKA d.d., Novo Mesto |
tabletes |
4/1,25 |
30 |
5,14 |
6,94 |
6,04 |
4,53 |
3,02 |
A |
|
Pioglitazonum |
A10BG03 |
EU/1/00/150/001 |
Actos |
Takeda Europe R&D Centre Ltd. |
tabletes |
15 |
28 |
19,01 |
23,86 |
23,86 |
17,90 |
11,93 |
B |
|
A10BG03 |
EU/1/00/150/004 |
Actos |
Takeda Europe R&D Centre Ltd. |
tabletes |
30 |
28 |
26,08 |
32,04 |
32,04 |
24,03 |
16,02 |
B |
||
Pioglitazonum/ Metforminum |
A10BD05 |
EU/1/06/354/005 |
Competact |
Takeda Europe R&D Centre Ltd. |
apvalkotas tabletes |
15/850 |
56 |
30,56 |
37,22 |
37,22 |
27,92 |
18,61 |
A |
R |
Quetiapinum |
N05AH04 |
07-0096-02 |
Ketipinor 100mg |
Orion Corporation |
apvalkotas tabletes |
100 |
100 |
33,05 |
40,10 |
40,10 |
30,08 |
20,05 |
A |
R |
N05AH04 |
07-0230-05 |
Kventiax 100mg |
KRKA, d.d., Novo Mesto |
apvalkotas tabletes |
100 |
60 |
19,19 |
24,07 |
24,07 |
18,05 |
12,04 |
A |
R |
|
N05AH04 |
07-0373-02 |
Nantarid 100mg |
Gedeon Richter Plc. |
apvalkotas tabletes |
100 |
60 |
23,23 |
28,75 |
24,07 |
18,05 |
12,04 |
A |
||
N05AH04 |
07-0376-02 |
Nantarid 300mg |
Gedeon Richter Plc. |
apvalkotas tabletes |
300 |
60 |
50,16 |
59,85 |
59,85 |
44,89 |
29,93 |
A |
R |
|
N05AH04 |
01-0120-02 |
Seroquel 100mg |
AstraZeneca UK Limited |
apvalkotas tabletes |
100 |
60 |
19,19 |
24,07 |
24,07 |
18,05 |
12,04 |
A |
R |
|
N05AH04 |
08-0014-01 |
Seroquel XR 300mg |
AstraZeneca UK Limited |
ilgstošas darbības apvalkotas tabletes |
300 |
60 |
61,04 |
71,82 |
71,82 |
53,87 |
35,91 |
A |
R |
|
N05AH04 |
08-0015-01 |
Seroquel XR 400mg |
AstraZeneca UK Limited |
ilgstošas darbības apvalkotas tabletes |
400 |
60 |
82,75 |
95,70 |
95,70 |
71,78 |
47,85 |
A |
R |
|
Ramiprilum |
C09AA05 |
99-0108-01 |
Cardace 5mg |
Aventis Pharma Deutschland GmbH |
tabletes |
5 |
28 |
3,57 |
4,93 |
2,99 |
2,24 |
1,50 |
A |
|
C09AA05 |
99-0108-02 |
Cardace 5mg |
Aventis Pharma Deutschland GmbH |
tabletes |
5 |
98 |
13,37 |
17,17 |
10,00 |
7,50 |
5,00 |
A |
||
C09AA05 |
03-0067-01 |
Cardace 10mg |
Aventis Pharma Deutschland GmbH |
tabletes |
10 |
28 |
6,45 |
8,60 |
5,64 |
4,23 |
2,82 |
A |
||
C09AA05 |
05-0324-01 |
Hartil 5mg |
Egis Pharmaceuticals Ltd. |
tabletes |
5 |
28 |
2,45 |
3,40 |
2,99 |
2,24 |
1,50 |
A |
||
C09AA05 |
05-0325-01 |
Hartil 10mg |
Egis Pharmaceuticals Ltd. |
tabletes |
10 |
28 |
5,22 |
7,04 |
5,64 |
4,23 |
2,82 |
A |
||
C09AA05 |
07-0092-04 |
Polapril 5mg |
Pharmaceutical Works “Polpharma” S.A. |
cietas kapsulas |
5 |
28 |
2,45 |
3,40 |
2,99 |
2,24 |
1,50 |
A |
||
C09AA05 |
07-0093-04 |
Polapril 10mg |
Pharmaceutical Works “Polpharma” S.A. |
cietas kapsulas |
10 |
28 |
5,23 |
7,05 |
5,64 |
4,23 |
2,82 |
A |
||
C09AA05 |
04-0388-04 |
Ramicor 5mg |
Hexal AG |
tabletes |
5 |
30 |
3,22 |
4,48 |
3,20 |
2,40 |
1,60 |
A |
||
C09AA05 |
04-0388-08 |
Ramicor 5mg |
Hexal AG |
tabletes |
5 |
60 |
5,76 |
7,72 |
6,24 |
4,68 |
3,12 |
A |
||
C09AA05 |
04-0389-04 |
Ramicor 10mg |
Hexal AG |
tabletes |
10 |
30 |
5,87 |
7,87 |
6,04 |
4,53 |
3,02 |
A |
||
C09AA05 |
04-0389-08 |
Ramicor 10mg |
Hexal AG |
tabletes |
10 |
60 |
11,29 |
14,65 |
11,76 |
8,82 |
5,88 |
A |
||
C09AA05 |
05-0572-01 |
Ramipril Actavis 5mg |
Actavis Nordic AS |
tabletes |
5 |
28 |
2,45 |
3,40 |
2,99 |
2,24 |
1,50 |
A |
||
C09AA05 |
05-0573-01 |
Ramipril Actavis 10mg |
Actavis Nordic AS |
tabletes |
10 |
28 |
5,22 |
7,04 |
5,64 |
4,23 |
2,82 |
A |
||
Rosiglitazonum |
A10BG02 |
EU/1/00/137/006 |
Avandia |
SmithKline Beecham plc. |
apvalkotas tabletes |
4 |
28 |
15,08 |
19,24 |
19,24 |
14,43 |
9,62 |
B |
|
A10BG02 |
EU/1/00/137/011 |
Avandia |
SmithKline Beecham plc. |
apvalkotas tabletes |
8 |
28 |
26,57 |
32,62 |
32,62 |
24,47 |
16,31 |
B |
||
Rosiglitazonum/ Glimepiridum |
A10BD04 |
EU/1/06/349/002 |
Avaglim |
SmithKline Beecham plc |
apvalkotas tabletes |
4/4 |
28 |
19,48 |
24,41 |
24,41 |
18,31 |
12,21 |
A |
R |
A10BD04 |
EU/1/06/349/003 |
Avaglim |
SmithKline Beecham plc |
apvalkotas tabletes |
4/4 |
56 |
40,56 |
48,77 |
48,77 |
36,58 |
24,39 |
A |
R |
|
A10BD04 |
EU/1/06/349/006 |
Avaglim |
SmithKline Beecham plc |
apvalkotas tabletes |
8/4 |
28 |
29,91 |
36,48 |
36,48 |
27,36 |
18,24 |
A |
R |
|
A10BD04 |
EU/1/06/349/007 |
Avaglim |
SmithKline Beecham plc |
apvalkotas tabletes |
8/4 |
56 |
62,03 |
72,91 |
72,91 |
54,68 |
36,46 |
A |
R |
|
Rosiglitazonum/ Metforminum |
A10BD03 |
EU/1/03/258/003 |
Avandamet |
SmithKline Beecham plc |
apvalkotas tabletes |
1/500 |
112 |
18,19 |
22,89 |
22,89 |
17,17 |
11,45 |
A |
R |
A10BD03 |
EU/1/03/258/006 |
Avandamet |
SmithKline Beecham plc |
apvalkotas tabletes |
2/500 |
112 |
25,27 |
31,11 |
31,11 |
23,33 |
15,56 |
A |
R |
|
A10BD03 |
EU/1/03/258/013 |
Avandamet |
SmithKline Beecham plc |
apvalkotas tabletes |
2/1000 |
112 |
32,68 |
40,00 |
40,00 |
30,00 |
20,00 |
A |
R |
|
A10BD03 |
EU/1/03/258/014 |
Avandamet |
SmithKline Beecham plc |
apvalkotas tabletes |
4/1000 |
112 |
53,16 |
63,15 |
63,15 |
47,36 |
31,58 |
A |
R |
|
Rosuvastatinum |
C10AA07 |
03-0167-02 |
Crestor 10mg |
AstraZeneca GmbH |
apvalkotas tabletes |
10 |
28 |
10,61 |
13,83 |
7,36 |
5,52 |
3,68 |
A |
|
C10AA07 |
03-0168-02 |
Crestor 20mg |
AstraZeneca GmbH |
apvalkotas tabletes |
20 |
28 |
16,57 |
20,99 |
14,31 |
10,73 |
7,16 |
A |
||
Simvastatinum |
C10AA01 |
03-0043-01 |
Simgal 10mg |
IVAX Pharmaceuticals s.r.o. |
apvalkotas tabletes |
10 |
28 |
2,29 |
3,19 |
0,78 |
0,59 |
0,39 |
A |
|
C10AA01 |
03-0044-01 |
Simgal 20mg |
IVAX Pharmaceuticals s.r.o. |
apvalkotas tabletes |
20 |
28 |
4,54 |
6,17 |
1,57 |
1,18 |
0,79 |
A |
||
C10AA01 |
03-0045-01 |
Simgal 40mg |
IVAX Pharmaceuticals s.r.o. |
apvalkotas tabletes |
40 |
28 |
9,40 |
12,33 |
3,11 |
2,33 |
1,56 |
A |
||
C10AA01 |
02-0415-01 |
Simvacor 10mg |
Hexal AG |
apvalkotas tabletes |
10 |
30 |
0,95 |
1,36 |
0,84 |
0,63 |
0,42 |
A |
||
C10AA01 |
02-0416-01 |
Simvacor 20mg |
Hexal AG |
apvalkotas tabletes |
20 |
30 |
1,93 |
2,71 |
1,68 |
1,26 |
0,84 |
A |
||
C10AA01 |
03-0379-01 |
Simvacor 40 |
Hexal AG |
apvalkotas tabletes |
40 |
30 |
3,91 |
5,36 |
3,34 |
2,51 |
1,67 |
A |
||
C10AA01 |
04-0190-01 |
Simvagamma 10mg |
Worwag Pharma GmbH & Co.KG |
apvalkotas tabletes |
10 |
30 |
4,83 |
6,55 |
0,84 |
0,63 |
0,42 |
A |
||
C10AA01 |
04-0191-01 |
Simvagamma 20mg |
Worwag Pharma GmbH & Co.KG |
apvalkotas tabletes |
20 |
30 |
8,56 |
11,26 |
1,68 |
1,26 |
0,84 |
A |
||
C10AA01 |
02-0263-01 |
Simvalimit 20mg |
AS “Grindeks” |
apvalkotas tabletes |
20 |
30 |
5,80 |
7,78 |
1,68 |
1,26 |
0,84 |
A |
||
C10AA01 |
01-0192-01 |
Vasilip 10mg |
KRKA d.d., Novo Mesto |
apvalkotas tabletes |
10 |
28 |
2,96 |
4,07 |
0,78 |
0,59 |
0,39 |
A |
||
C10AA01 |
01-0193-01 |
Vasilip 20mg |
KRKA d.d., Novo Mesto |
apvalkotas tabletes |
20 |
28 |
5,53 |
7,44 |
1,57 |
1,18 |
0,79 |
A |
||
Topiramatum |
N03AX11 |
00-0121-02 |
Topamax 50mg |
UAB Johnson & Johnson |
apvalkotas tabletes |
50 |
60 |
15,81 |
20,10 |
16,31 |
12,23 |
8,16 |
A |
|
N03AX11 |
00-0122-02 |
Topamax 100mg |
UAB Johnson & Johnson |
apvalkotas tabletes |
100 |
60 |
30,23 |
36,84 |
29,79 |
22,34 |
14,90 |
A |
||
N03AX11 |
06-0235-01 |
Topiramate Sandoz 50mg |
Sandoz d.d. |
apvalkotas tabletes |
50 |
60 |
12,66 |
16,31 |
16,31 |
12,23 |
8,16 |
A |
R |
|
N03AX11 |
06-0236-01 |
Topiramate Sandoz 100mg |
Sandoz d.d. |
apvalkotas tabletes |
100 |
60 |
24,12 |
29,79 |
29,79 |
22,34 |
14,90 |
A |
R |
|
Travoprostum/ Timololum |
S01ED51 |
EU/1/06/338/001 |
DuoTrav |
Alcon Laboratories (UK) Ltd. |
acu pilieni |
0,04/ 5mg/ml |
2,5ml |
11,85 |
15,33 |
10,77 |
8,08 |
5,39 |
A |
|
Valsartanum/ |
C09DA03 |
02-0393-01 |
Co-Diovan 160/12,5 |
Novartis Pharma AG |
apvalkotas tabletes |
160/ 12,5 |
28 |
14,89 |
19,01 |
15,63 |
11,72 |
7,82 |
A |
|
Venlafaxinum |
N06AX16 |
08-0141-01 |
Argofan SR 75mg |
Zentiva a.s. |
ilgstošas darbības tabletes |
75 |
30 |
8,15 |
10,75 |
9,38 |
7,04 |
4,69 |
A |
|
N06AX16 |
00-0032-01 |
Efexor XR 75mg |
Wyeth Lederle Pharma GmbH |
ilgstošas darbības kapsulas |
75 |
28 |
15,65 |
19,91 |
8,75 |
6,56 |
4,38 |
A |
||
N06AX16 |
07-0086-03 |
Elify XR 75mg |
Medochemie Ltd. |
ilgstošas darbības cietas kapsulas |
75 |
30 |
7,25 |
9,61 |
9,38 |
7,04 |
4,69 |
A |
||
N06AX16 |
08-0188-01 |
Prefaxine 37,5mg |
Pharmaceutical Works “Polpharma” S.A. |
ilgstošas darbības cietas kapsulas |
37,5 |
28 |
5,26 |
7,10 |
5,23 |
3,92 |
2,62 |
A |
||
N06AX16 |
08-0189-01 |
Prefaxine 75mg |
Pharmaceutical Works “Polpharma” S.A. |
ilgstošas darbības cietas kapsulas |
75 |
28 |
10,06 |
13,17 |
8,75 |
6,56 |
4,38 |
A |
||
N06AX16 |
07-0277-01 |
Velaxin 75mg |
Egis Pharmaceuticals PLC |
ilgstošas darbības cietas kapsulas |
75 |
28 |
13,40 |
17,20 |
8,75 |
6,56 |
4,38 |
A |
||
Ziprasidonum |
N05AE04 |
08-0326-04 |
Ypsila 40mg |
KRKA d.d., Novo Mesto |
cietas kapsulas |
40 |
60 |
33,40 |
40,50 |
40,50 |
30,38 |
20,25 |
A |
R |
N05AE04 |
08-0327-04 |
Ypsila 60mg |
KRKA d.d., Novo Mesto |
cietas kapsulas |
60 |
60 |
50,57 |
60,30 |
60,30 |
45,23 |
30,15 |
A |
R |
|
N05AE04 |
08-0328-04 |
Ypsila 80mg |
KRKA d.d., Novo Mesto |
cietas kapsulas |
80 |
60 |
68,30 |
79,81 |
79,81 |
59,86 |
39,91 |
A |
R |
|
N05AE04 |
02-0269-08 |
Zeldox 40mg |
Pfizer Limited |
kapsulas |
40 |
60 |
33,40 |
40,50 |
40,50 |
30,38 |
20,25 |
A |
R |
|
N05AE04 |
02-0270-08 |
Zeldox 60mg |
Pfizer Limited |
kapsulas |
60 |
60 |
50,57 |
60,30 |
60,30 |
45,23 |
30,15 |
A |
R |
|
N05AE04 |
02-0271-08 |
Zeldox 80mg |
Pfizer Limited |
kapsulas |
80 |
60 |
68,30 |
79,81 |
79,81 |
59,86 |
39,91 |
A |
R |
Zāļu cenu valsts aģentūras direktore D.Behmane
5.pielikums
Zāļu cenu valsts aģentūras
2009.gada 16.septembra rīkojumam Nr.30
Saraksta kategorijas maiņa Kompensējamo zāļu saraksta medicīniskajām ierīcēm
Medicīniskā ierīce |
Identifikācijas Nr. |
Medicīniskās ierīces nosaukums |
Reģistrācijas |
Iepakojuma lielums |
Kompensācijas bāzes cena (Ls) |
Aptiekas cena ar PVN 10% (Ls) |
Kompensācijas summa |
Saraksta |
Pazīme |
||
100% RC |
75% |
50% |
|||||||||
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
Inkontinences līdzekļi |
060369-10 |
ABENA Abri-Flex Plus XS |
Vilandra SIA |
21 |
6,41 |
8,55 |
8,55 |
6,41 |
4,28 |
A |
R |
060369-11 |
ABENA Abri-Flex Plus S |
Vilandra SIA |
14 |
6,85 |
9,11 |
8,71 |
6,53 |
4,36 |
A |
||
060369-12 |
ABENA Abri-Flex Plus M |
Vilandra SIA |
14 |
7,76 |
10,25 |
8,29 |
6,22 |
4,15 |
A |
||
060369-13 |
ABENA Abri-Flex Plus L |
Vilandra SIA |
14 |
7,84 |
10,36 |
8,79 |
6,59 |
4,40 |
A |
||
060369-04 |
ABENA Abri-Form plus M |
Vilandra SIA |
26 |
6,93 |
9,21 |
7,59 |
5,69 |
3,80 |
A |
||
060369-05 |
ABENA Abri-Form plus L |
Vilandra SIA |
26 |
8,42 |
11,09 |
9,20 |
6,90 |
4,60 |
A |
||
060369-08 |
ABENA Abri-Form Super Air Plus M |
Vilandra SIA |
24 |
8,91 |
11,72 |
9,48 |
7,11 |
4,74 |
A |
||
060369-09 |
ABENA Abri-Form Super Air Plus L |
Vilandra SIA |
22 |
9,00 |
11,83 |
10,38 |
7,79 |
5,19 |
A |
||
060369-01 |
ABENA Abri-Form super S |
Vilandra SIA |
28 |
7,59 |
10,04 |
10,04 |
7,53 |
5,02 |
A |
R |
|
060369-02 |
ABENA Abri-Form super M |
Vilandra SIA |
24 |
7,40 |
9,80 |
9,48 |
7,11 |
4,74 |
A |
||
060369-03 |
ABENA Abri-Form super L |
Vilandra SIA |
22 |
8,22 |
10,84 |
10,38 |
7,79 |
5,19 |
A |
||
060369-14 |
ABENA Abri-Wing-Premium M1 |
Vilandra SIA |
14 |
3,56 |
4,92 |
4,87 |
3,65 |
2,44 |
A |
||
060369-15 |
ABENA Abri-Wing-Premium M2 |
Vilandra SIA |
14 |
3,56 |
4,92 |
4,92 |
3,69 |
2,46 |
A |
R |
|
060369-16 |
ABENA Abri-Wing-Premium M3 |
Vilandra SIA |
14 |
3,81 |
5,24 |
5,24 |
3,93 |
2,62 |
A |
R |
|
060369-17 |
ABENA Abri-Wing-Premium L1 |
Vilandra SIA |
14 |
4,21 |
5,75 |
5,75 |
4,31 |
2,88 |
A |
R |
|
060369-18 |
ABENA Abri-Wing-Premium L2 |
Vilandra SIA |
14 |
4,21 |
5,75 |
5,75 |
4,31 |
2,88 |
A |
R |
|
060369-19 |
ABENA Abri-Wing-Premium L3 |
Vilandra SIA |
14 |
4,86 |
6,59 |
6,59 |
4,94 |
3,30 |
A |
R |
|
050413-16 |
EURON Form Super Plus S |
SIA OneMed |
14 |
3,85 |
5,28 |
5,28 |
3,96 |
2,64 |
A |
R |
|
050413-17 |
EURON Form Super Plus M |
SIA OneMed |
28 |
9,04 |
11,88 |
11,88 |
8,91 |
5,94 |
A |
R |
|
050413-18 |
EURON Form Super Plus L |
SIA OneMed |
28 |
10,91 |
14,19 |
14,19 |
10,64 |
7,10 |
A |
R |
|
050413-19 |
EURON Form Super Plus XL |
SIA OneMed |
14 |
6,30 |
8,42 |
8,42 |
6,32 |
4,21 |
A |
R |
|
050413-11 |
EURON MOBI super M |
SIA OneMed |
14 |
6,21 |
8,29 |
8,29 |
6,22 |
4,15 |
A |
R |
|
050413-13 |
EURON MOBI super L |
SIA OneMed |
14 |
6,60 |
8,79 |
8,79 |
6,59 |
4,40 |
A |
R |
|
050413-07 |
EURON WINGS super M |
SIA OneMed |
14 |
4,34 |
5,92 |
4,92 |
3,69 |
2,46 |
A |
||
050413-09 |
EURON WINGS super L |
SIA OneMed |
14 |
4,80 |
6,51 |
5,75 |
4,31 |
2,88 |
A |
||
031158-16 |
SENI Super Extra small |
SIA Bella Rīga |
10 |
1,80 |
2,53 |
2,53 |
1,90 |
1,27 |
A |
R |
|
031158-01 |
SENI Super small |
SIA Bella Rīga |
10 |
1,90 |
2,67 |
2,67 |
2,00 |
1,34 |
A |
R |
|
031158-03 |
SENI Super medium |
SIA Bella Rīga |
10 |
2,08 |
2,92 |
2,92 |
2,19 |
1,46 |
A |
R |
|
031158-05 |
SENI Super large |
SIA Bella Rīga |
10 |
2,56 |
3,54 |
3,54 |
2,66 |
1,77 |
A |
R |
|
031158-17 |
SENI Super Extra large |
SIA Bella Rīga |
10 |
3,29 |
4,57 |
4,57 |
3,43 |
2,29 |
A |
R |
|
031158-18 |
SENI Super Plus small |
SIA Bella Rīga |
10 |
2,68 |
3,71 |
3,59 |
2,69 |
1,80 |
A |
||
031158-06 |
SENI Super Plus medium |
SIA Bella Rīga |
10 |
2,87 |
3,95 |
3,95 |
2,96 |
1,98 |
A |
R |
|
031158-08 |
SENI Super Plus large |
SIA Bella Rīga |
10 |
3,41 |
4,72 |
4,72 |
3,54 |
2,36 |
A |
R |
|
031158-09 |
SENI Super Plus Extra large |
SIA Bella Rīga |
10 |
4,40 |
6,00 |
6,00 |
4,50 |
3,00 |
A |
R |
|
031158-11 |
SENI Super Trio small |
SIA Bella Rīga |
10 |
2,91 |
4,00 |
3,77 |
2,83 |
1,89 |
A |
||
031158-12 |
SENI Super Trio medium |
SIA Bella Rīga |
10 |
3,11 |
4,33 |
3,95 |
2,96 |
1,98 |
A |
||
031158-14 |
SENI Super Trio large |
SIA Bella Rīga |
10 |
3,78 |
5,19 |
4,72 |
3,54 |
2,36 |
A |
||
031158-15 |
SENI Super Trio Extra large |
SIA Bella Rīga |
10 |
4,40 |
6,00 |
6,00 |
4,50 |
3,00 |
A |
R |
|
050282-16 |
TENA FLEX maxi S |
SIA SCA Hygiene products |
22 |
8,25 |
10,88 |
10,88 |
8,16 |
5,44 |
A |
R |
|
050282-17 |
TENA FLEX maxi M |
SIA SCA Hygiene products |
22 |
8,59 |
11,31 |
8,23 |
6,17 |
4,12 |
A |
||
050282-20 |
TENA FLEX maxi L |
SIA SCA Hygiene products |
22 |
10,26 |
13,41 |
10,36 |
7,77 |
5,18 |
A |
||
050282-23 |
TENA FLEX maxi XL |
SIA SCA Hygiene products |
21 |
11,41 |
14,80 |
14,80 |
11,10 |
7,40 |
A |
R |
|
050282-03 |
TENA FLEX Plus Extra Large |
SIA SCA Hygiene products |
30 |
12,52 |
16,14 |
16,14 |
12,11 |
8,07 |
A |
R |
|
050282-01 |
TENA FLEX plus S |
SIA SCA Hygiene products |
30 |
7,52 |
9,96 |
9,96 |
7,47 |
4,98 |
A |
R |
|
050282-02 |
TENA FLEX plus M |
SIA SCA Hygiene products |
30 |
7,90 |
10,44 |
10,44 |
7,83 |
5,22 |
A |
R |
|
050282-05 |
TENA FLEX plus L |
SIA SCA Hygiene products |
30 |
9,41 |
12,34 |
12,32 |
9,24 |
6,16 |
A |
||
050282-07 |
TENA FLEX super S |
SIA SCA Hygiene products |
28 |
8,43 |
11,10 |
11,10 |
8,33 |
5,55 |
A |
R |
|
050282-08 |
TENA FLEX super M |
SIA SCA Hygiene products |
28 |
8,89 |
11,68 |
9,84 |
7,38 |
4,92 |
A |
||
050282-11 |
TENA FLEX super L |
SIA SCA Hygiene products |
28 |
10,48 |
13,67 |
11,50 |
8,63 |
5,75 |
A |
||
050282-14 |
TENA FLEX super XL |
SIA SCA Hygiene products |
28 |
12,15 |
15,70 |
15,70 |
11,78 |
7,85 |
A |
R |
|
040301-08 |
TENA PANTS plus XS |
SIA SCA Hygiene products |
11 |
6,77 |
9,01 |
4,48 |
3,36 |
2,24 |
A |
||
040301-11 |
TENA PANTS plus S |
SIA SCA Hygiene products |
14 |
6,54 |
8,71 |
8,71 |
6,53 |
4,36 |
A |
R |
|
040301-14 |
TENA PANTS plus M |
SIA SCA Hygiene products |
14 |
7,05 |
9,36 |
8,29 |
6,22 |
4,15 |
A |
||
040301-17 |
TENA PANTS plus L |
SIA SCA Hygiene products |
14 |
7,97 |
10,53 |
8,79 |
6,59 |
4,40 |
A |
||
040301-20 |
TENA PANTS plus XL |
SIA SCA Hygiene products |
12 |
7,81 |
10,32 |
10,32 |
7,74 |
5,16 |
A |
R |
|
040301-23 |
TENA PANTS super S |
SIA SCA Hygiene products |
12 |
7,32 |
9,70 |
9,70 |
7,28 |
4,85 |
A |
R |
|
040301-26 |
TENA PANTS super M |
SIA SCA Hygiene products |
12 |
7,81 |
10,32 |
10,32 |
7,74 |
5,16 |
A |
R |
|
040301-29 |
TENA PANTS super L |
SIA SCA Hygiene products |
12 |
8,80 |
11,57 |
11,57 |
8,68 |
5,79 |
A |
R |
|
030200-23 |
TENA SLIP maxi S |
SIA SCA Hygiene products |
22 |
6,96 |
9,24 |
8,30 |
6,23 |
4,15 |
A |
||
030200-26 |
TENA SLIP maxi M |
SIA SCA Hygiene products |
22 |
7,97 |
10,53 |
9,33 |
7,00 |
4,67 |
A |
||
030200-29 |
TENA SLIP maxi L |
SIA SCA Hygiene products |
22 |
9,49 |
12,44 |
11,15 |
8,36 |
5,58 |
A |
||
030200-02 |
TENA SLIP plus XS |
SIA SCA Hygiene products |
30 |
5,86 |
7,85 |
7,59 |
5,69 |
3,80 |
A |
||
030200-05 |
TENA SLIP plus S |
SIA SCA Hygiene products |
30 |
6,63 |
8,82 |
8,01 |
6,01 |
4,01 |
A |
||
030200-08 |
TENA SLIP plus M |
SIA SCA Hygiene products |
30 |
7,41 |
9,81 |
8,76 |
6,57 |
4,38 |
A |
||
030200-11 |
TENA SLIP plus L |
SIA SCA Hygiene products |
30 |
8,87 |
11,66 |
10,62 |
7,97 |
5,31 |
A |
||
030200-14 |
TENA SLIP super S |
SIA SCA Hygiene products |
25 |
7,24 |
9,60 |
8,96 |
6,72 |
4,48 |
A |
||
030200-17 |
TENA SLIP super M |
SIA SCA Hygiene products |
25 |
7,76 |
10,25 |
9,88 |
7,41 |
4,94 |
A |
||
030200-20 |
TENA SLIP super L |
SIA SCA Hygiene products |
25 |
9,31 |
12,22 |
11,80 |
8,85 |
5,90 |
A |
Zāļu cenu valsts aģentūras direktore D.Behmane
6.pielikums
Zāļu cenu valsts aģentūras
2009.gada 16.septembra rīkojumam Nr.30
Kompensācijas bāzes cenas maiņa Kompensējamo zāļu saraksta medicīniskajām ierīcēm
Medicīniskā ierīce |
Identifikācijas Nr. |
Medicīniskās ierīces nosaukums |
Reģistrācijas |
Iepakojuma lielums |
Kompensācijas bāzes cena (Ls) |
Aptiekas cena ar PVN 10% (Ls) |
Kompensācijas summa |
Saraksta |
Pazīme |
||
100% RC |
75% |
50% |
|||||||||
Glikēmijas teststrēmeles |
050557-01 |
MediSense Optium Plus Electrodes |
Abbott Laboratories Baltics SIA |
25 |
5,69 |
7,63 |
6,11 |
4,58 |
3,06 |
A |
|
070454-01 |
FreeStyle Papillon |
Abbott Laboratories Baltics SIA |
50 |
9,70 |
12,72 |
12,21 |
9,16 |
6,11 |
A |
||
050557-03 |
MediSense Optium Plus Electrodes |
Abbott Laboratories Baltics SIA |
50 |
10,51 |
13,71 |
12,21 |
9,16 |
6,11 |
A |
Zāļu cenu valsts aģentūras direktore D.Behmane
7.pielikums
Zāļu cenu valsts aģentūras
2009.gada 16.septembra rīkojumam Nr.30
No Kompensējamo zāļu saraksta svītrotās zāles
Zāļu vispārīgais nosaukums |
ATC kods |
Medikamenta identifikācijas Nr. |
Zāļu nosaukums |
Reģistrācijas apliecības īpašnieks |
Forma |
Stiprums (mg) |
Iepako-juma lielums |
Kompen-sācijas bāzes cena (Ls) |
Aptiekas cena ar PVN |
Saraksta kategorija |
Medikamenta pazīme |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
Cisplatinum |
L01XA01 |
99-0936-01 |
Cisplatin “Ebewe” 25mg/50ml |
Ebewe Pharma GmbH |
koncentrāts infūziju šķīduma pagatavošanai |
25mg/50ml |
1 |
3,82 |
5,25 |
A |
R |
Risperidonum |
N05AX08 |
05-0403-01 |
Risperdal Quicklet 1mg |
UAB “Johnson & Johnson” |
mutē disperģējamas tabletes |
1 |
28 |
7,95 |
10,49 |
A |
R |
N05AX08 |
05-0404-01 |
Risperdal Quicklet 2mg |
UAB “Johnson & Johnson” |
mutē disperģējamas tabletes |
2 |
28 |
7,08 |
9,39 |
A |
R |
|
N05AX08 |
05-0405-01 |
Risperdal Quicklet 4mg |
UAB “Johnson & Johnson” |
mutē disperģējamas tabletes |
4 |
28 |
14,62 |
18,68 |
A |
R |
|
N05AX08 |
05-0607-01 |
Risperidon Actavis 1mg |
Actavis Nordic AS |
apvalkotas tabletes |
1 |
60 |
6,30 |
8,42 |
A |
R |
|
Tramadolum |
N02AX02 |
02-0417-03 |
Tramadolor ID 100mg |
Sandoz d.d. |
ilgstošas darbības tabletes |
100 |
50 |
3,71 |
5,10 |
A |
R |
N02AX02 |
02-0418-03 |
Tramadolor ID 150mg |
Sandoz d.d. |
ilgstošas darbības tabletes |
150 |
50 |
5,47 |
7,36 |
A |
R |
|
N02AX02 |
02-0419-03 |
Tramadolor ID 200mg |
Sandoz d.d. |
ilgstošas darbības tabletes |
200 |
50 |
6,58 |
8,77 |
A |
R |
|
Olanzapinum |
N05AH03 |
07-0281-05 |
Olanzapin-ratiopharm 10mg |
Ratiopharm GmbH |
tabletes |
10 |
30 |
28,14 |
34,43 |
A |
R |
Zāļu cenu valsts aģentūras direktore D.Behmane